Gym Access IND Essential Plus Silver POS 54, state_name

Gym Access IND Essential Plus Silver POS 54 is an individual health health plan issued by Florida Health Care Plan, Inc. and is available for the year 2019. This health plan is offered by the federal government through HealthCare.gov and the Affordable Care Act (ACA).

This plan is available for qualifying individuals who live in Flagler county, Florida.

This plan is a POS plan, or a Point of Service plan. This plan requires you get a referral from your primary care doctor in order to see a specialist doctor. You pay less if you use providers that are in-network and you pay more if you use those that are out-of-network.

You can purchase this plan at HealthCare.gov.

Issuer

Florida Health Care Plan, Inc.

Plan ID

56503FL1410001

Coverage area

Flagler County, Florida

Phone

Local Phone: 1-386-676-7110
Toll-Free: 1-800-232-0578
TTY: 1-800-955-8771

Plan type

POS

Coverage type

Silver

Medical deductible

$2,500

Out-of-pocket maximum

$7,900

Generic drug co-pay

$10

Preferred brand drug co-pay

$30 Copay after deductible

Primary care physician visit cost

$40

Specialist doctor visit cost

$65

Primary Care Visit	$40
Specialist Visit	$65
Emergency Room Visit	30% Coinsurance after deductible
Inpatient Facility Visit	30% Coinsurance after deductible
Inpatient Physician Visit	30% Coinsurance after deductible

Generic Drugs	$10
Preferred Brand Drugs	$30 Copay after deductible
Non-preferred Brand Drugs	$55 Copay after deductible
Specialty Drugs	50% Coinsurance after deductible

Medical Deductible (Individual)	$2,500
Medical Maximum Out Of Pocket (Individual)	$7,900
Medical Deductible (Family)	$5,000
Medical Maximum Out Of Pocket (Family)	$15,800

Drug Deductible (Individual)	Included in Medical
Drug Maximum Out Of Pocket (Individual)	Included in Medical
Drug Deductible (Family)	Included in Medical
Drug Maximum Out Of Pocket (Family)	Included in Medical

EHB Percent of Total Premium	99.80%
Premium Child Age 0-14	331
Premium Child Age 18	395
Premium Adult Individual Age 21	433
Premium Adult Individual Age 27	454
Premium Adult Individual Age 30	491
Premium Adult Individual Age 40	553
Premium Adult Individual Age 50	773
Premium Adult Individual Age 60	1,175
Premium Couple 21	866
Premium Couple 30	983
Premium Couple 40	1,107
Premium Couple 50	1,547
Premium Couple 60	2,351
Couple+1 child, Age 21	1,198
Couple+1 child, Age 30	1315
Couple+1 child, Age 40	1,438
Couple+1 child, Age 50	1,879
Couple+2 children, Age 21	1,529
Couple+2 children, Age 30	1,646
Couple+2 children, Age 40	1,770
Couple+2 children, Age 50	2,210
Couple+3 or more Children, Age 21	1,860
Couple+3 or more Children, Age 30	1,977
Couple+3 or more Children, Age 40	2,101
Couple+3 or more Children, Age 50	2,542
Individual+1 child, Age 21	764
Individual+1 child, Age 30	823
Individual+1 child, Age 40	885
Individual+1 child, Age 50	1,105
Individual+2 children, Age 21	1,096
Individual+2 children, Age 30	1,154
Individual+2 children, Age 40	1,216
Individual+2 children, Age 50	1,436
Individual+3 or more children, Age 21	1,427
Individual+3 or more children, Age 30	1,486
Individual+3 or more children, Age 40	1,548
Individual+3 or more children, Age 50	1,768

HealthCare.gov. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov
The 'metal' categories: Bronze, Silver, Gold & Platinum. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plans-categories
Health insurance plan & network types: HMOs, PPOs, and more. U.S. Centers for Medicare and Medicaid. Accessed June 11, 2019. https://www.healthcare.gov/choose-a-plan/plan-types

State:
Arkansas
Metal Level:
Expanded Bronze
Plan Type:
POS
Primary Care Visit: 50% Coinsurance after deductible
Generic Drugs: 50% Coinsurance after deductible
Medical Deductible (Individual): $5,000
Medical Maximum Out Of Pocket (Individual): $6,450